East Orange, NJ

Brookhaven Health Care Center

3-star overall rating with 3-star inspections with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

120 Park End Place, East Orange, NJ

(973) 676-6221

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

122

Certified beds

Average residents

115

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Paramount Care Centers

Operator or chain grouping

Approved since

1988-10-24

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

9 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.58

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

0.79

Licensed practical nurse staffing · state 0.94 · national 0.87

Aide hours / resident day

2.00

Nurse aide staffing · state 2.23 · national 2.35

Total nurse hours

3.37

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.37

RN + LPN hours · state 1.62 · national 1.54

Weekend hours

2.96

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.41

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.20

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.58

CMS adjusted RN staffing hours

Adjusted total hours

3.33

CMS adjusted total nurse staffing hours

Case-mix index

1.38

Higher values indicate more complex resident acuity

RN turnover

18%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

22%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,757

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

28.87

Composite VBP score used to determine payment impact.

Payment multiplier

0.9852

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 21.51% · Performance 24.03% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0

Baseline 7.66% · Performance 8.16% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

10

Baseline 31.13% · Performance 22.22% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

1.55

Baseline 3.67 hours · Performance 3.52 hours · Measure score 1.55 · Achievement 1.55 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.33%	10.72% 1.6 pts worse	No Different than the National Rate · Eligible stays 85 · Observed rate 17.65% · Lower 95% interval 9.29%
Discharge to community	38.3%	50.57% 12.3 pts worse	Worse than the National Rate · Eligible stays 69 · Observed rate 27.54% · Lower 95% interval 28.85%
Medicare spending per beneficiary	1.48	1.02 0.5 pts worse
Drug regimen review with follow-up	98.84%	95.27% 3.6 pts better	Numerator 170 · Denominator 172
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 172
Discharge self-care score	63%	53.69% 9.3 pts better	Numerator 63 · Denominator 100
Discharge mobility score	48%	50.94% 2.9 pts worse	Numerator 48 · Denominator 100
Pressure ulcers or injuries, new or worsened	2.91%	2.29% 0.6 pts worse	Numerator 5 · Denominator 172 · Adjusted rate 2.32%
Healthcare-associated infections requiring hospitalization	8.16%	7.12% 1 pts worse	No Different than the National Rate · Eligible stays 67 · Observed rate 11.94% · Lower 95% interval 4.82%
Staff COVID-19 vaccination coverage	2.23%	8.2% 6 pts worse	Numerator 4 · Denominator 179
Staff flu vaccination coverage	86.36%	42% 44.4 pts better	Numerator 171 · Denominator 198
Discharge function score	67%	56.45% 10.5 pts better	Numerator 67 · Denominator 100
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 72 · Denominator 72
Transfer of health information to patient	94%	96.28% 2.3 pts worse	Numerator 47 · Denominator 50
Resident COVID-19 vaccinations up to date	45.65%	25.2% 20.4 pts better	Numerator 42 · Denominator 92

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	2.1 0.4 pts better	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.8 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.5	1.1 0.4 pts worse	1.8 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.5%	93.0% 6.5 pts better	93.4% 6.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.1% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.2% 2.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	0.8%	2.4% 1.6 pts better	3.3% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.0% · Q3 1.1% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	25.2%	11.4% 13.8 pts worse	11.4% 13.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 34.6% · Q3 24.1% · Q4 27.4% · 4Q avg 25.2%
Percentage of long-stay residents who lose too much weight	3.0%	4.6% 1.6 pts better	5.4% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 4.3% · Q3 3.5% · Q4 3.4% · 4Q avg 3.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	8.1%	19.0% 10.9 pts better	19.6% 11.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 7.3% · Q3 11.4% · Q4 6.5% · 4Q avg 8.1%
Percentage of long-stay residents who received an antipsychotic medication	5.8%	13.5% 7.7 pts better	16.7% 10.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 4.1% · Q3 3.3% · Q4 8.5% · 4Q avg 5.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	7.5%	9.8% 2.3 pts better	16.3% 8.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 4.9% · Q3 12.3% · Q4 6.9% · 4Q avg 7.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.4%	9.7% 0.3 pts better	14.9% 5.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 8.0% · Q3 8.6% · Q4 10.6% · 4Q avg 9.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.2%	0.7% 0.5 pts better	1.0% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	13.5%	15.9% 2.4 pts better	19.8% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 10.9% · Q3 15.0% · Q4 11.8% · 4Q avg 13.5%
Percentage of long-stay residents with pressure ulcers	8.9%	6.0% 2.9 pts worse	5.1% 3.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 11.9% · Q3 11.6% · Q4 6.5% · 4Q avg 8.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.5%	78.7% 18.8 pts better	81.7% 15.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.0% · Q2 98.1% · Q3 95.8% · Q4 97.5% · 4Q avg 97.5%
Percentage of short-stay residents who had an outpatient emergency department visit	9.4%	8.2% 1.2 pts worse	12.0% 2.6 pts better	Short Stay · 20240701-20250630 · Adjusted 9.4% · Observed 10.7% · Expected 12.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.5%	1.2% 0.3 pts worse	1.6% 0.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 1.6% · Q3 0.0% · Q4 1.5% · 4Q avg 1.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	92.2%	80.1% 12.1 pts better	79.7% 12.5 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 92.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	33.1%	25.4% 7.7 pts worse	23.9% 9.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 33.1% · Observed 42.7% · Expected 30.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-25 · Fire 2025-08-25

6 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-03-07 · Fire 2024-03-07

7 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2021-12-09 · Fire 2021-12-09

4 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-25

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-09-30

F · Potential for more than minimal harm 2025-08-25

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-09-30

F · Potential for more than minimal harm 2025-08-25

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-09-30

F · Potential for more than minimal harm 2024-03-07

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2024-04-29

F · Potential for more than minimal harm 2024-03-07

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-05-15

F · Potential for more than minimal harm 2024-03-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-29

D · Potential for more than minimal harm 2021-12-09

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2022-01-10

D · Potential for more than minimal harm 2021-12-09

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-01-10

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-08-25

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-10-15

E · Potential for more than minimal harm 2025-08-25

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-25

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-25

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-25

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-25

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-09-30

E · Potential for more than minimal harm 2024-03-07

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-04-29

E · Potential for more than minimal harm 2024-03-07

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2024-04-29